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Title: Drug administration
method
United States Patent: 7,427,607
Issued: September 23, 2008
Inventors: Suzuki; Shigeki
(Tokyo, JP)
Assignee: Next21 K.K.
(Tokyo, JP)
Appl. No.: 10/505,205
Filed: February 18, 2003
PCT Filed: February 18,
2003
PCT No.: PCT/JP03/01693
371(c)(1),(2),(4) Date: February
01, 2005
PCT Pub. No.: WO03/070110
PCT Pub. Date: August 28,
2003
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Pharm Bus Intell
& Healthcare Studies
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Abstract
A method of administering a drug whereby
a fine drug powder can be accurately administered to a target site (in
particular, a target site in the body cavity) via fluidization and
spraying with a gas by using a micro tube. Concerning the administration
mode, in particular, the drug alone or a biopolymer is administered or the
biopolymer is employed as a carrier in the above method. More specifically
speaking, a method of administering a fine drug powder which comprises
finely milling one or more types fine particles of the drug and/or the
biopolymer, blending them each other, fluidizing the blend with a gas,
then transporting the fluidized matter in a micro tube by the gas stream
and spraying the fine drug powder from the tip of the micro tube toward
the target site. Further, an administration method which comprises
concentrically providing a capillary tube in the micro tube, supplying an
aqueous solution of the drug and/or the biopolymer from the capillary tube
into the gas stream and then mixing it with other fine particles of the
drug and/or the biopolymer under transportation by the gas.
Description of the
Invention
SUMMARY OF THE INVENTION
In order to solve the problems disclosed in the present application, an
aspect of the present invention according to claim 1 is a method for
administering a finely powdered drug, characterized in that the drug is
pulverized to have a mean particle diameter of equal to or less than 100 .mu.m
to provide flowability with a gas, a homogeneous fluid of the fine powder
and the gas is prepared and transferred through a micro tube by a flow of
the gas, and the finely powdered drug is sprayed on a target site from a tip
of the micro tube, the quantity sprayed thereof being adjustable.
Another aspect of the present invention according to claim 2 is a method for
administering a biopolymer comprising fluidizing one or more types of fine
particles of a biopolymer with a gas to prepare a homogeneous mixed-phase
fluid of the biopolymer and the gas; transferring the mixed-phase fluid
through a micro tube by flowing the gas; and spraying the fine particles of
the biopolymer toward a target site from a tip of the micro tube, thereby
providing hemostasis at a wound site, providing a seal thereto, preventing
adhesion of an organ and healing a wound.
Specifically, the administration method according to the present invention
has a configuration that includes pulverizing the drug and the biopolymer to
reduce the unit weight of the pulverized powder, fluidizing thereof with the
carrier gas, transferring thereof through the micro tube, and injecting the
finely powdered drug and the biopolymer from the tip of the micro tube, and,
being so configured, the drug and the biopolymer can be precisely
administered through a narrow space from the surface of the body to the
target site positioned in a deeper part of the body to which the
administration thereof has been conventionally impossible. Various types of
biopolymers have been employed for hemostasis, sealing, prevention of the
adhesion of an organ, wound healing or the like. The type and the
formulation of a plurality of biopolymers for use is different depending on
objectives of the medical treatment, and the dosage thereof is also
different. However, the method of the present invention, can provide the
advantageous effect of precise administration of these biopolymers.
In the administration method according to the present invention, the finely
powdered drug can be mixed with the fine particle of the biopolymer as a
drug carrier, and administered to the target site by utilizing fluid
dynamics of the gas. Therefore, in order to improve an adhesiveness of a
drug to a target site, yet other aspect of the present invention according
to claim 3 is a method for administering a biopolymer, comprising mixing
fine particles of a carrier of a bioabsorbable biopolymer with a finely
powdered drug; transferring the powder fluidized with a gas through a micro
tube by flowing the gas; and spraying a mixed powder of the biopolymer and
the finely powdered drug toward a target site from the tip of the micro
tube, thereby providing hemostasis at a wound site, providing a seal
thereto, preventing adhesion of an organ and healing a wound.
In the administration method according to the present invention, it was
found that vibrating the vessel for mixing the fine particle powder and the
gas achieves greater efficiency in the fluidization of the fine particle
powder to be administered at a highly reproducible concentration and
improves the fluidity thereof with the gas. Therefore, yet other aspect of
the present invention according to claim 4 is the method according to any
one of claims 1 to 3, wherein a homogeneous fluid of a finely powdered drug
and a gas or a homogeneous fluid of a biopolymer and a gas, or a homogeneous
fluid of a finely powdered drug and a gas with a biopolymer carrier are
prepared by vibrating a mixing vessel for mixing the fine drug powder or the
biopolymer and the gas. Vibration can be carried out by, for example,
rocking vibration, rotational vibration, ultrasonic vibration or the like.
Further, in the administration method according to the present invention,
the spraying of a certain quantity to a target site can be achieved by
controlling the concentration of the fluidized powder and the flow rate of
the gas for the fine particle powder that is sprayed from the tip of the
micro tube. Therefore, yet other aspect of the present invention according
to claim 5 is the method according to any one of claims 1 to 3, wherein a
quantity of the finely powdered drug or the biopolymer sprayed from the tip
of the micro tube is adjusted by adjusting the powder concentration of the
fluidized powder and the gas flow.
In the administration method according to the present invention, when the
drug or the biopolymer for administration is in a solution form, the
solution can be injected into the micro tube through a capillary tube having
smaller diameter and disposed within the micro tube, so that the size of the
liquid droplets of the solution is reduced by being repeatedly adhered onto
and separated from the inner wall of the micro tube by the gas flow, and the
droplet is sprayed from the tip of the micro tube, thereby enabling the
precise administration to the target site. Therefore, yet other aspect of
the present invention according to claim 6 is a method according to any one
of claims 1 to 5, wherein a small diameter-tube having a smaller diameter
than the micro tube is further provided coaxially in the micro tube, and
wherein an aqueous solution of physiological saline, an infusion solution or
a drug and/or a biopolymer is injected from the smaller diameter-tube into a
gas flow in the smaller diameter-tube, thereby spraying a mixture thereof
with the drug in the fluidizing gas and/or the biopolymer fine particles in
the micro tube.
On the other hand, in contrast to the above-described approach, a tube
having a smaller diameter is coaxially provided in the micro tube, and the
fine powder fluidized with the gas is transferred through the smaller
diameter tube, and an aqueous solution of the drug, biopolymer or the like
is transferred through the clearance between the outer tube (the micro tube)
and the inner tube (the smaller diameter tube), and the respective aqueous
solutions are mixed at a position in the vicinity of the outlet of the micro
tube and sprayed, thereby enabling precise administration to the target
site. Therefore, yet other aspect of the present invention according to
claim 7 is a method according to any one of claims 1 to 5, wherein a smaller
diameter-tube having a smaller diameter than the micro tube is further
provided coaxially in the micro tube, wherein the finely powdered drug is
transferred by the gas flow through the smaller diameter-tube and an aqueous
solution of a physiological saline, an infusion solution or a drug and/or a
biopolymer is transferred through the clearance between the inner and the
outer tubes, and wherein both of the finely powdered drug and the aqueous
solution to be sprayed is mixed at the tip of the micro tube.
Further, yet other aspect of the present invention according to claim 8 is a
method according to any one of claims 1 to 7, wherein the drug fluidized
with the gas is provided with sustained release, thereby delaying the
release of the medicinal properties, and another aspect of the present
invention according to claim 9 is a method according to claim 8, wherein the
release of the medicinal properties is delayed by microencapsulating, spray
drying or freeze drying of the drug.
In addition, a further aspect of the present invention according to claim 10
is a method for administering a drug comprising fluidizing a biopolymer fine
powder and fluidizing of a finely powdered drug in different vessels,
transferring the respective fine powders by gas flow through a micro tube,
spraying the fine powders from a tip of the micro tube to a target site by
first spraying the finely powdered drug and second spraying the fine
particles of the biopolymer to coat the drug component layer on the target
site, thereby preventing diffusion and leakage of the drug to a location
other than the target site.
Specifically, according to the present invention, the drug fine powder is
sprayed and applied onto the target site by utilizing the fluid dynamics of
the gas, and the drug adhesion surface is then further coated with the fine
particle of the biopolymer, thereby ensuring leakage and diffusion of the
drug fine powder to a portion other than the target site is prevented.
Further, yet other aspect of the present invention according to claim 11 is
a method for administering a drug comprising connecting containers
containing two types of respectively different components in series with a
micro tube and spraying a drug from a tip of the micro tube to a target
site, wherein a larger quantity of the component contained in the vessel
that is connected nearer to the tip of the micro tube is sprayed than that
contained in the other vessel in the first half of the spraying, and wherein
a larger quantity of the component contained in the vessel that is connected
at the gas input portion side is sprayed than that contained in another
vessel in the second half of the spraying, thereby gradually varying the
concentrations of the respectively sprayed components.
Specifically, according to the method of the present invention, the coating
layer covering the administered site by the spraying can be formed to have a
concentration distribution of the components that has an
automatically-formed gradient from the interior side of the administered
site to the exterior side thereof. For example, an inner layer in vicinity
of an injured surface can be coated with a composition containing a
component promoting the healing of the injury at a higher concentration, and
the outer layer can be coated with a biopolymer having better sealing
properties. Such spray coatings, for example, can be achieved by a method in
which two vessels containing fine powder gases or two vessels containing
aqueous solutions are coupled in series, and the component from the vessel
further from the spray slot is transfered to the nearer vessel, and the two
components are gradually mixed to provide a concentration gradient.
Alternatively, in the present invention, a plurality of biopolymer, in
particular two types of biopolymers that are water-soluble, exhibiting a
viscous nature or be coagulated, can be administered, and in such case, a
set of fine particle powder thereof and solution thereof, or a set of
solutions thereof can be administered to the target site. Therefore, yet
other aspect of the present invention according to claim 12 is a method for
administering a biopolymer, wherein two types of biopolymer, which can be
dissolved in water to exhibit a viscous nature or be coagulated, are
employed, and wherein a set of fine particle powder thereof and solution
thereof, or a set of solutions thereof are individually transferred through
respective micro tubes by flows of gases, and the set are mixed at a tip of
the micro tube, thereby spraying thereof to a target site.
In this case, if the two types of the biopolymer is a set of an anionic
biopolymer and a cationic biopolymer, both in a solution state can be
combined to exhibit physical properties and bio-combinability that are
totally different from those of the single component thereof, and in
particular, the increase of viscosity is remarkable. Although the combined
compound of the both biopolymers is difficult to be transported through the
micro tube due to its high viscosity, the highly viscous gel compound having
greater adhesiveness can be sprayed to the target site by transporting one
of the biopolymers as a form of fine particle powder with a gas flow or
transporting both biopolymers as a form of solution with a gas flow, and
mixing thereof when spraying.
Therefore, yet other aspect of the present invention according to claim 13
is the method for administrating a biopolymer according to claim 12, wherein
the set of the two types of biopolymers is a combination of an anionic
biopolymer and a cationic biopolymer, and yet other aspect of the present
invention according to claim 14 is the method for administering a biopolymer
according to claims 12 or 13, wherein the biopolymers are selected from a
group consisting of synthetic polymers, polysaccharides, peptides and
proteins.
More specific aspect of the present invention according to claim 15 is a
method for administering a drug for providing a hemostasis of a wounded face
or providing a seal, characterized in that two capillary tubes are coaxially
provided within a micro tube, and fibrinogen alone or a combined liquid
thereof with other coagulation factor and thrombin alone or a combined
solution thereof with calcium chloride are injected from one capillary tube
and another capillary tube, respectively, into a gas flow in the micro tube,
thereby spraying the mixture from a tip of the micro tube to a target site
while mixing both solutions.
In such case, further specific aspect of the present invention according to
claim 16 is a method for administering a drug for providing a hemostasis of
a wounded face or providing a seal, characterized in that a powder
containing fibrinogen as a chief constituent alone or a mixed fine powder
thereof with a biopolymer and an aqueous solution containing thrombin as a
chief constituent are employed, and a mixture thereof are sprayed to a
target site.
The powder containing fibrinogen as a main constituent can be a powder
containing, for example, fibrin, coagulation factor XIII, fibronectin,
aprotinin or the like, and a powder containing thrombin as a chief
constituent can be a combined powder of thrombin and calcium chloride.
Further, yet other aspect of the present invention according to claim 17 is
a fluidized matrix fine particle powder for use as a drug having sustained
releaseability in the methods for administering the drug according to any
one of claims 1 to 16, wherein the drug is bound to a biopolymer within a
solution via an intermolecular interaction consisting of a coulomb force, a
hydrogen bonding and a hydrophobic bonding and pulverized at a lower
temperature after drying. In this case, properties of the matrix can be
utilized to ensure the sustained release of the drug.
Here, when the biopolymers having different ion charges are mixed, the
mixture acquires new physical properties due to containing ionic bonds
therein, and the increase of viscosity or the reduction of solubility is
remarkable. Therefore, a powder prepared by mixing, formulation-processing
or chemically combining one electric charged polymer with a drug having an
opposite electric charge is fluidized with gas and is mixed and injected
with a biopolymer solution having an opposite electric charge to form a
sparingly soluble and sparingly degradable gel or semisolid material,
thereby enabling to provide a sustained release to the drug administration
target site and coating thereof. Further, the physical properties thereof
comprise functional characteristics as a drug for hemostasis, prevention of
adhesion wound healing and tissue sealing.
Therefore, yet other aspect of the present invention according to claim 18
is a method for administering a drug for providing a hemostasis of a wounded
face or providing a seal, wherein the drug according to claim 17 and a
biopolymer having an ionic charge opposite to that of the matrix fine
particle powder of the biopolymer according to claim 17 are sprayed to a
target site from a tip of a micro tube in a fine particle powder state or a
solution state.
In addition, the administration method according to the present invention
enables spray-administering of an adhesive and filler employed for
treatments of bone in orthopedic surgery. Since the adhesive and the filler
employed for treatments of bone in orthopedic surgery are generally
administered by mixing the ceramics powder and the liquid binder with a
spatula and rubbing the mixture on target site, the internal load is
generated therein and uniform surface is seldom formed. However, since the
ceramics powder is administered via fluidization and spray-administration
according to the administration method of the present invention, the
ceramics powder can be precisely administered to a larger defective part of
a skull and a defective part of the bone that is caused in a surgical
removal operation of cancer, which requires a delicate handling, and thus,
forming of the bone substitute can easily be conducted, even if the
operation field is narrow.
Therefore, yet other aspect of the present invention according to claim 19
is the method according to any one of claims 2 to 7, wherein the biopolymer
is a calcium phosphate-type powder, a hydroxyapatite-type powder or a powder
of a glass-type material, which is a bone cement or an artificial bone
filler, and wherein a mixed solution of a calcium phosphate-type powder or a
hydroxyapatite-type powder and a liquid binder agent, or a mixed solution of
glass-type material and an aqueous acids is sprayed from a tip of a micro
tube to form a bone substitute at a target site.
BEST MODE FOR IMPLEMENTING THE INVENTION
The biopolymer used in the present invention is, in one sense, a polymer
having so-called biocompatibility, and as a typical biopolymer is not
particularly limited as long as the polymer has functions for hemostasis,
prevention of adhesion, prevention of keloid, healing of wounds, closing of
wounds, sealing and the like. More specifically, carboxymethyl celluloses,
carboxyethyl celluloses, oxycelluloses, agaroses, chitins, chitosans,
hyaluronic acids, starches, glycogens, alginates, pectins, dextrans,
chondroitin sulfates, gelatins, collagens or the like can be employed, or
one or more types of these biopolymers can be employed.
Further, the compound having bioabsorbability can be employed as the
biopolymer, and such bioabsorbable materials can be polylactic acids, lactic
acid-ethylene glycol copolymers, collagens, agaroses, polyvinyl alcohols,
fibrin gels, gelatins, chitins, chitosans, oxycelluloses, carboxymethyl
celluloses, pectins, starches, dextrans, agaroses, alginic acids,
chondroitins, chondroitin sulfates, fucoses, carrageenans, ethylene-vinyl
acetate copolymers, polyglycolic acids, lactic acid-caprolactone copolymers,
calcium phosphates, calcium carbonates, hydroxyapatites or the like.
Further, the drugs capable of being administered with the present invention
can include various types of drugs, and among these, typical drugs can be
drug medicines possessing lower molecular weights, such as bactericides,
antibiotic agents, hemostats, anti-tumor drugs and antiphlogistics, peptides
such as cell growth factors, cytostatic factors, neurotrophic factors or the
like, protein medicines or various types of antibody medicines, vectors
containing genes utilized for gene therapy (adenovirus, retrovirus,
liposome, hydrogel or the like) or naked DNA or the like.
These drugs can be administered as fine powders or aqueous solutions by the
administration method according to the present invention. Among these, in
the case that the drug is administered as fine powder with the biopolymer,
when the isoelectric point with the biopolymer is dissociated, the adhesion
of the drug can be improved and the release ability of the drug from the
biopolymer can be decreased by containing ion-bonds or the like therein,
thereby providing better sustained release. Therefore, the method also has
the advantages of being capable of appropriately selecting the type of
biopolymer depending on the type of the drug for administration.
In order to ensure the sustained release of the drug for usage, the powder
prepared by the method, in which the drug having an electric charge is
previously ion-bonded to a biopolymer having different electric charge in an
aqueous solution, then freeze-dried and thereafter pulverized to be unified,
can be administered by the administration method of the present invention.
As an alternative approach for providing sustained release, the drug for
administration is microencapsulated to form fine particles, and these fine
particles, either alone or with a biopolymer, can be administered by the
administration method of the present invention.
In the administration method of the present invention, the drug and/or the
biopolymer is precisely administered to the target site basically by
fluidizing the drug and/or the biopolymer in the carrier gas flow,
transferring thereof through the micro tube, and injecting the fine
particles of the drug and/or the biopolymer from the tip of the micro tube.
Therefore, it is preferable to employ fine particles, which are capable of
being fluidized by the drug and/or the carrier gas. Such fine particles can
preferably have a particle size distribution, in which roughly 80% particles
have particle diameters under 100 .mu.m, and the mean particle diameter is
equal to or less than 50 .mu.m.
Here, in the administration method of the present invention, the
administered drug and/or biopolymer are not particularly limited to the form
of the fine particles, and it is needless to say that even a solution-type
thereof can be administered according to the administration method of the
present invention.
Although various types of gases are included in the carrier gases available
for the present invention, it is preferable to employ carbon dioxide gas or
nitrogen gas in view of safety and convenience. It is preferable to use
gas-piping facilities in a hospital for the injection gas.
A fluidization of the drug and/or the biopolymer in the administration
method of the present invention can preferably be conducted within a
blending cell for the gas and the pulverized powder. Further, in order to
mix a liquid and the fine powder, which is fluidized with gas, the liquid
can be injected into a micro tube via a capillary tube, where the liquid and
the powder come into contact and can be mixed. The flow rate of the gas
flowing through the micro tube can be at a level that promotes fluidizing a
sufficient amount of the gas for spraying the mixture of the drug from the
tip of the micro tube, and after setting such a flow rate for the gas, for
example, bacteria or the like are removed via passage through a bacteria
filter, the powder is fluidized within a powder blending cell, further the
fine particles of the drug and/or the biopolymer are transferred through the
micro tube, the drug and the like is sprayed from the tip of the micro tube,
thereby being sprayed to the targeted administering site, in particular the
administration site in a living body.
The administration method of the present invention will be described in
detail as follows, with reference to FIG. 1 (see Original Patent) that shows
a schematic diagram thereof.
The FIG. 1 (see Original Patent) schematically shows a fundamental
configuration for the administration method of the present invention.
Specifically, a fluidizing gas such as carbon dioxide gas or nitrogen gas
flows from a gas supply source (A) of an outside facility (101), and after
the pressure thereof is adjusted via a pressure regulating valve (B), the
flow is modulated by a gas flow rate control valve (D) and a flow meter (C)
on the apparatus portion (102), and then, the bacteria included in the gas
are removed by a bacteria filter (F), and thereafter, the flow is eventually
supplied to a powder-gas mixing cell (E), where the drug and/or the
biopolymer are fluidized.
The fluidization of the drug and/or the biopolymer in the blending cell can
preferably be conducted within the blending cell that is a quantification
mixer comprising a rolling shaker, a rotary shaker or a supersonic wave
shaker, and the powder of the drug and/or the biopolymer is uniformly mixed
and fluidized by the gas in the interior of the quantification mixer
(blending cell). The mixed powder fluidized by the gas is then transferred
through the micro tube (103) by the gas to be sprayed from the tip of the
micro tube (103). In this case, the bacteria filter-blending cell-micro tube
portion of the apparatus portion (102) can be a disposable portion (104),
which is easily replaced depending upon the type of the drug and/or the
biopolymer suitable for the administration target.
When the drug and/or biopolymer to be administered by the administration
method described above is in a solution form, a capillary tube (104) is
provided coaxially within the micro tube (103), and when the liquid-type
drug and/or biopolymer is injected from the tip of the capillary tube toward
the gas flow in the micro tube (shown by an arrow in the figure), the liquid
is dispersed by the gas flow to form a mist, and then the mist is sprayed
from the tip of the micro tube, thereby enabling the spraying thereof onto
the target site. A schematic structure of the micro tube, which can be used
for in this case, is shown in FIG. 2 (see Original Patent).
Alternatively, two or more types of the liquids of the drug and/or the
biopolymer can be mixed for administering via the administration method of
the present invention. In such case, two or more of the capillary tubes
(105,106) are installed coaxially within the micro tube (103) as required,
and the individual solutions of the drug and/or the biopolymer are injected
into the gas flow in the micro tube (shown by an arrow in the figure) from
the tip of the capillary tube to form a mist, and the mist can be sprayed
from the tip of the micro tube. The schematic structure of the micro tube is
shown in FIG. 3 (see Original Patent).
Alternatively, a modification of the administration method of the present
invention can employ a small cylinder as the supply source of the fluid gas.
Further, if a micro tube is coupled to an aerosol, and a capillary tube is
combined with the micro tube, achieving a miniaturization thereof or
providing a disposable application is possible. In this case, two types of
aerosols are combined and coupled via a nozzle, and two types of drug and/or
biopolymer are simultaneously injected from the respective aerosols and
mixed in the coupled portion, and then the drug and/or the biopolymer can be
sprayed from a tip of an integrated micro tube.
Claim 1 of 10 Claims
1. A method for administering a
biopolymer having hemostatic or adhesion preventing functions, comprising
the steps of: fluidizing fine particles of the biopolymer having
hemostatic or adhesion preventing functions with a gas to prepare a
homogenous mixed-phase fluid; transferring the mixed-phase fluid through
at least one micro-tube by flowing the gas; mixing a liquid with the
mixed-phase fluid, the liquid being selected from the group consisting of
a saline solution, an infusion solution, an aqueous solution of a drug and
an aqueous solution of a biopolymer; the liquid being injected into the
micro-tube thorough at least one inner tube so that the liquid is mixed
with the mixed-phase fluid, wherein the inner tube is configured to be
within the micro-tube; spraying the mixed liquid and the mixed-phase fluid
toward a target site from an open tip of the micro-tube; wherein the mixed
liquid and the mixed-phase fluid become a gel compound after the liquid
and the mixed-phase fluid are mixed; whereby the fine particles of the
biopolymer are capable of being sprayed as a gel compound toward the
targct site to provide a seal upon the target site.
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